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Mississippi rates for HCPCS 15777

Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)

Facilitymedian $1,047 · 10th–90th $219–$4,1690%10%10th90th$1,047$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $1,047.13 / $4,168.69
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $12,589.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $630.96 / $1,513.56